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Concepts of ICU

The intensive care unit is not merely a room or series of room filled with
patients attached to interventional technology;

it is the home of an organization: the intensive care team


Seven Cs of Critical Care Nursing
Compassion

Communication (with patient and family)

Consideration (to patients, relatives and colleagues)

Conflict

Comfort (prevention of suffering)

Carefulness (avoidance of injury)

Consistency

Closure
Staffing in ICU

ICU In charge or Director (30% to 50% of professional time in ICU)

Consultants

Resident Doctors

Head Nurse or In charge Nurse

Nursing Staff (1:1 ratio in critically ill with ventilator support)

Physiotherapist

ICU technicians

GDA
Layout
Equipment's in ICU

Central Medical gas and Vacuum lines


Electrical ports
Multi channel monitors
Ventilators
Infusion pumps
Defibrillator
FOB
USG
X-rays
HEPA filters
ECG machine/ABG Machine/Crash Cart
Nursing Care need in ICU

In the intensive care unit people are constantly looked after and monitored by a
highly specialized team, which includes consultants, physiotherapists, dieticians and
nurses, each of them with specialist knowledge and skills. Specially trained nurses
provide round-the-clock care and monitoring, and there is a high ratio of nurses to
patients - each person in ICU is usually assigned his or her own 'named' nurse.
Nursing Care need in ICU

ICU nurses play a vital role in the patients care, including the following:
Taking regular blood tests
Changing the patients treatment in line with test results
Giving the patient the drugs and fluids that the doctors have prescribed
Recording the patients blood pressure, heart rate and oxygen levels (monitor
Alarm)
Clearing fluid and mucus from the patients chest using a suction tube
Ventilator alarms
Nursing Care need in ICU

Turning the patient in his or her bed every few hours to prevent sores on the skin
Cleaning the patients teeth and moistening the mouth with a wet sponge
Washing the patient in bed
Changing the sheets
Changing a patients surgical stockings, which help circulation when he or she is
inactive (lying still) for a long time
FASTHUG BID ICU Management
FASTHUG BID ICU Management

F.. Feeding
A. Analgesia
S.. Sedation
T.. Thromboprophylaxis
B. Bowel care

H. Head-of-bed elevation I.. Indwelling catheter removal

U. Ulcer prophylaxis D De-escalation of


G Glycemic control antibiotics